Individual
KELLYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1 S CREEK DR STE 116, MONTICELLO, KY 42633-9472
(606) 348-3314
Mailing address
116 HOSPITAL ST, MONTICELLO, KY 42633
(606) 348-9343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
163223
KY
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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